健康教育对扩张型心肌病患者安装三腔起搏器后健康状况的影响

目的探讨健康教育对扩张型心肌病患者安装三腔起搏器后健康状况的影响。方法根据系统性健康教育实施情况将本科2010年1月-2012年1月收治的38例扩张型心肌病并安装三腔起搏器患者分为对照组（n=17）和实验组（n=21），并对其进行为期18个月的随访，比较2组患者随访期间预后转归情况，并电话邀约至本院复查。比较2组相关临床指标、各项生活量表及心理量表的差异。结果与对照组相比，实验组患者18个月内进展至终末期心力衰竭的人数显著降低，且实验组患者的自我保健意识明显提高；实验组平均动脉压、低密度脂蛋白、左心室收缩末期内径显著降低，每搏输出量显著增加；实验组患者SF-36量表、WHOQOL-BREF量表部分项目评分显著升高；实验组患者的HAMA量表显著降低、MUIS量表显著降低、SCL-90量表显著降低。结论对扩张型心肌病并安装三腔起搏器患者实施健康教育可显著改善预后，提高临床疗效，增强患者自我保健意识，提高患者生活质量，消除患者负面情绪，从而达到稳定病情、提升患者整体健康状况的效果，值得临床推广。

Influence of health education on postoperative health status in dilated cardiomyopathy patients treated with three-chamber pacemaker

Objective To explore the influence of health education on postoperative health status in dilated cardiomyopathy patients treated with three-chamber pacemaker. Methods Ac- cording to the implementation of systematic health education, 38 dilated cardiomyopathy patients treated with three-chamber pacemaker from January 2010 to January 2012 were divided into control group （n = 17） and experimental group （n = 21）. All the patients were followed up for 18 months, and condition of prognosis were observed and compared in both groups. Clinical indexes, scores of various life scales and score of psychological scale were compared between two groups. Results Compared with the control group, the number of patients with progression to final stage of heart failure within 18 months in the experimental group decreased significantly, and self awareness of health protection increased significantly; levels of MAP, LDL-C and LVIDs in the experimental group reduced significantly while the SV increased significantly; scores of partial items of SF-36 scale and WHOQOL-BREF scale in the experimental group increased significantly while scores of HAMA, MUIS and SCL-90 reduced significantly. Conclusion Implementation of health education for dilated cardiomyopathy patients with installation of three-chamber pacemaker can significantly improve the prognosis and clinical efficacy, enhance the self awareness of health protection of pa- tients, improve quality of life and eliminate negative emotions, so it is worthy of clinical populariza- tion.